Individual provider · Type 1 NPI
Maricris Bertolano Dacumos, NP
Nurse Practitioner · Stanford, CA
Practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23515 (CA) |
| Nurse Practitioner Primary | 363L00000X | 23515 (CA) |
| Family Nurse Practitioner | 363LF0000X | R173553 (MD) |
| Adult Health Nurse Practitioner | 363LA2200X | 23515 (CA) |
| Family Nurse Practitioner | 363LF0000X | APRN-1255 (HI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1083918445
Maricris Bertolano Dacumos, NP's National Provider Identifier is 1083918445, issued on Dec 28, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stanford, CA. The record was last updated on Dec 30, 2025.